| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.20 | $34.20 | $34.20 | |
Aetna
| Professional | $0.79 | $1.91 | $1.91 | |
Cigna
| Professional | $0.79 | $0.79 | $0.79 | |
Highmark BCBS
| Facility | $1.73 | $1.73 | $17.57 | |
United
| Professional | $0.79 | $1.19 | $2.65 |